Mildred V Kick, LMT

NPI #1720553738 in Sparta, Wisconsin

Provider Information

NPI Number: 1720553738
Entity Type: Individual
Name: Mildred V Kick, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 5, 2018
Last Updated: Oct 5, 2018

Practice Location

Address: 213 N BLACK RIVER ST
City: Sparta
State: Wisconsin
ZIP Code: 54656-1529
Phone: (608) 487-9990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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